An unusual pediatric monteggia equivalent lesion: a rare case report

Year 2023, Volume: 13 Issue: 4, 118 - 120, 27.12.2023

Metin Çelik , Emre Arıkan , Ömer Faruk Yılmaz

https://doi.org/10.33706/jemcr.1132878

Abstract

Abstract: Monteggia lesion is a rare fracture in which ulna shaft fracture and radial head dislocation occur together. Monteggia equivalent is the lesion associated with ulna shaft fracture and radius head and/or neck fracture. We offer a case of Monteggia equivalent in a 9-years-old boy. In the surgery of the patient, anatomical plating was performed for ulna shaft fracture and intramedullary nail was applied for radius neck fracture. When we look at the literature, such case reports are very rare.
Conclusion: In the 1-year follow-up of the patient, there was no loss in flexion, extension, supination and pronation range of motion.

Keywords

Internal fixation, Monteggia equivalent, Radius neck fracture, Ulna shaft fracture

References

• 1. Bado, J.L., 7 The Monteggia Lesion. Clinical Orthopaedics and Related Research (1976-2007), 1967. 50: p. 71-86.
• 2. Josten, C. and S. Freitag, Monteggia and Monteggia-like-lesions: classification, indication, and techniques in operative treatment. European Journal of Trauma and Emergency Surgery, 2009. 35(3): p. 296-304.
• 3. Peter, N. and S. Myint, Type I Monteggia lesion and associated fracture of the distal radius and ulna metaphysis in a child. Canadian Journal of Emergency Medicine, 2007. 9(5): p. 383-386.
• 4. Givon, U., et al., Monteggia and Equivalent Lesions: A Study of 41 Cases. Clinical Orthopaedics and Related Research (1976-2007), 1997. 337: p. 208-215.
• 5. Letts, M., R. Locht, and J. Wiens, Monteggia fracture-dislocations in children. The Journal of Bone and Joint Surgery. British volume, 1985. 67(5): p. 724-727.
• 6. Faundez, A., D. Ceroni, and A. Kaelin, An unusual Monteggia type-I equivalent fracture in a child. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME-, 2003. 85(4): p. 584-587.
• 7. Soin, B., N. Hunt, and J. Hollingdale, An unusual forearm fracture in a child suggesting a mechanism for the Monteggia injury. Injury, 1995. 6(26): p. 407-408.
• 8. EM, E., Pronation injuries of the forearm, with special reference to the anterior Monteggia fracture. The Journal of Bone and Joint surgery. British Volume, 1949. 31(4): p. 578-88, illust.
• 9. Tompkins, D.G., The anterior Monteggia fracture: observations on etiology and treatment. JBJS, 1971. 53(6): p. 1109-1114.
• 10. Ring, D., Monteggia fractures. Orthopedic Clinics, 2013. 44(1): p. 59-66.
• 11. Trail, I., Operative elbow surgery. 2011: Churchill Livingstone.
• 12. Bae, D.S. and P.M. Waters, Surgical treatment of acute and chronic Monteggia fracture-dislocations. Operative Techniques in Orthopaedics, 2005. 15(4): p. 308-314.
• 13. Singh, D., et al., A very rare presentation of type 1 Monteggia equivalent fracture with ipsilateral fracture of distal forearm-approach with outcome: case report. Journal of Orthopaedic Case Reports, 2016. 6(4): p. 57.